• HEDIS Reviewer III

    US Tech Solutions (May, OK)


    Duration: 5 months contract

    Job Description:

    + Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.

    + This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures.

    + Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements.

    + The candidate must be proficient with databases and with conducting 100% of work activities on the computer.

    Responsibilities:

    + Complete assigned abstraction and data entry each day.

    + Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters

    + Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter into the applicable software system ALL assigned abstracts.

    + Prioritize and accurately complete tasks within established times

    + Identifying trends and documentation of areas for improvement

    + Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities"

    Experience:

    + 4 or more years of experience auditing and abstracting medical records required.

    + Candidate must commit to attend all required training and conference calls assigned for the project.

    + Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project.

    + Medical knowledge/terminology is required.

    + Ability to read and interpret medical records.

    + Professional demeanor and good work ethic.

    + Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.

    + Excellent verbal and written communication skills – clear, concise and appropriate.

    + Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.

    + Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills.

    + Proven organizational and time management skills including the ability to meet required deadlines.

    + Must keep all information collected in a safe, organized and confidential manner while maintaining. confidentiality of PHI, HIPAA Privacy and Security Rules.

    Skills:

    + Data Abstraction

    + Medical Record

    + EMR system

    + Familiarity with NCQA guidelines

    + Data Entry

    Education:

    + High School diploma or GED

    About US Tech Solutions:

    US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .

     

    US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.